Ezinye izidakamizwa ze-arthritis zingabangela ubuthi bezinso
Umsebenzi wezinso kuhilela ukukhipha imfucuza yamanzi emzimbeni wegazi, ukulawula ukulinganisela kwamanzi emzimbeni, nokugcina i-acidity / alkalinity yamanzi omzimba. Kokubili ukuhlolwa kwegazi kanye nomchamo kunganquma uma izinso zisebenza kahle. Izivivinyo zegazi ezihlola umsebenzi wezinso zivame ukuhlelwa kanye nezivivinyo zokusebenza kwesibindi ukuqapha iziguli eziphathwa ngemithi ethile ye-arthritis.
Inyosi yobuthi ingumphumela ongase ube nomphumela wemithi ethile ye- arthritis . Izinkinga zezinso ezivela ekusebenziseni imithi ye-arthritis azivamile, kodwa zingenzeka. Odokotela bangase bahleleke njalo ukuhlola ukuhlola umphumela wemithi ethile ezintsheni, ukuhlolwa kwezinkinga zezinso noma ukungavamile nokusebenza kwezinso.
Izivivinyo zeGciwane Lokusebenza Kwezinso
I-BUN (i-Blood Urea Nitrogen) ihlolwa ngegazi ehlola umsebenzi wezinso. I-Urea ingumkhiqizo we-protein metabolism futhi yenziwa esibindi. I-Urea ihlungiwe kusuka egazini ngezinso futhi igxiliwe emcinini.
Imithi ye-arthritis nemithi ye-gout engakhuphula amazinga we-BUN afaka:
- allopurinol
- Ama-NSAID
- methotrexate
- i-high-dose aspirin
- I-Tylenol / i-acetaminophen
Ukuphuma kwamagciwane , okungaba umphumela ojulile we-NSAID, kungabangela ukuphakama kwe-BUN.
- BUN ububanzi obujwayelekile buyi-7-20 mg / dl
I-serum creatinine yi-test yegazi ebuye isetshenziselwe ukuhlola ukusebenza kwezinso.
I-Creatinine yinto eyenziwa yi-creatine ehilelekile ekusetshenzisweni kwamandla emisipha. Inani elincanyana lokudala emzimbeni liguqulwa libe yi-creatinine nsuku zonke. I-Creatinine, umkhiqizo wezinto ezidakayo emzimbeni kusukela ekuguqulweni, ihlungwa kusuka egazini ngezinso futhi igxiliwe emcinini.
I-blood creatinine ivame ukuhlala igxilile yizinso. Amazinga e-Creatinine egazini aphakanyisiwe uma umsebenzi wezinso ungasebenzi. Nakuba ubudala nobulili kuthinta izindinganiso ezijwayelekile ze-creatinine, ukuzinza kwezinga lomuntu we-creatinine kwenza kube ukuhlolwa okukhethwa ku-BUN ukuze kuhlolwe izinkinga zezinso.
- I-Serum creatinine ububanzi obujwayelekile buyi-0.8-1.2 mg / dl (owesilisa) no-0.6-0.9 mg / dl (abesifazane).
Ukuvivinywa kwe-Urine for Umsebenzi Wezinso
Ukuhlolwa kwe-urinal kuyinto elula kunazo zonke izivivinyo zomchamo ezisetshenziswa ukuhlola izinkinga zezinso. I-dipstick elula ingathola ukutholakala kwe-glucose, amaprotheni, amaketoni, noma i-bilirubin emcimbini, kanye ne-acidity noma i-alkalinity yomchamo - konke okuyizinkomba zezixazululo ezinokwenzeka zezinso. Ukubonakala komchamo kubonakala njalo nge-urinalysis. Ukungahleleki kwamangqamuzana kungatholakala ukuthi kuncane kakhulu.
Ukususwa kwe-Urea kuyisivivinyo esisebenzisa i-specimen yegazi ukunquma izinga le-urea elikhona egazini namasampula amabili omchamo, okwesibili kuqoqwe ihora elilodwa emva kwesampula sokuqala somchamo. Lokhu kuhlolwa kuthola ukuthi urea uhlungwa kangakanani izinso emcinini.
- Ukususwa kwe-Urea okujwayelekile kuwu-64-99 ml / iminithi
Ukukhishwa kwe-Creatinine , futhi kulinganiswa njenge-ml / min, kuqhathanisa neveli ye-creatinine emcintini ngezinga le-creatinine egazini, ngokuvamile esekelwe kumalinganiso wesampula yamahora angu-24 kanye nesampula segazi elidonsa ekupheleni kwehora lama-24 .
Njengoba kushiwo ngaphambili, i-creatinine itholakala ekugxilweni kwe-plasma ezinzile. Uma i-creatin ihlungiwe, ayibuyiswa kabusha futhi ifihliwe ngamaminithi ngezinso. Ukuvunyelwa kwe-creatinine kusetshenziselwa ukulinganisa izinga lokuhlunga kwe-glomerular, ukuhlolwa okujwayelekile kwezinso zezinso.
- I-Creatinine imvume yokubala evamile / umchamo wamahora angu-24 kubantu abadala
I-osmolality ye-urine yinkinga yokuhlushwa komchamo ngokusekelwe kwinani lezinhlayiyana eziqhekekile emcinini. Kulinganiselwe kuma-milliosmols / kg.
- Izinga elivamile le-urmo-osmolality liphakathi kwama-50 kuya ku-1400 m / kg (okungahleliwe) noma ngaphezulu kuka-850mOsm / kg nge-12 kuya ku-14 ihora lokuvimbela amanzi.
I-urine test test iqoqo le-urine lamahora angu-24.
- Okuvamile = isampula kufanele ibe nesingaphansi noma elingana no-150 mg weprotheni.
Izivivinyo zezinso ezingavamile zikhomba izinkinga zezinso
Noma yikuphi ukuhlolwa okutholakala ukuthi akuveli ebangeni elijwayelekile kukhona izinkomba zezinkinga ezingase zibe nezinso zezinso. Wena, kanye nodokotela wakho, kufanele uthathe isinqumo uma omunye wemithi yakho ye- arthritis ebangela inkinga . Ukuyeka noma ukushintsha imithi kungase kube inkambo elandelayo, okuvumela izinkinga zezinso ukuxazulula.
Qaphela: Zonke izigaba ezijwayelekile zixhomeke ebhokisatri kanye nendlela esetshenziselwa ukuhlolwa
Imithombo:
Ukuhlolwa Kwemitholampilo Ngendlela Yokusebenza I-Laboratory, Todd-Sanford, edition ka-15, 1974.